Organization
JLG SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS GUZMAN CSFA (STATUTORY AGENT)
(480) 834-6810
Entity
Organization
Contact information
Practice address
855 E. LOWELL AVE., GILBERT, AZ 85295-6271
(480) 834-6810
(480) 834-6810
Mailing address
855 E. LOWELL AVE., GILBERT, AZ 85295-6271
(480) 834-6810
(480) 834-6810
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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